Individual
MATHIEW NGATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DBA
Contact information
Practice address
507 WHIPPOORWILL LN, MARION, IL 62959-5539
(301) 605-2799
Mailing address
507 WHIPPOORWILL LN, MARION, IL 62959-5539
(301) 605-2799
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4000642
IL
251E00000X
Home Health Agency
Primary
4000642
IL
374U00000X
Home Health Aide
4000642
IL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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